On January 16, 2014 the Centers for Medicaid and Medicare Services (CMS) issued new regulations for the provision of Medicaid Home and Community-Based Services (HCBS). The intent of the new regulations is to ensure that individuals receiving long-term care services and supports through HCBS programs have full access to benefits of community living and the opportunity to receive services in the most integrated setting appropriate.
Each state that operates a 1915(c) waiver or a Section 1915(i) state plan benefit that was in effect on or before March 17, 2014, is required to file a Statewide Transition Plan outlining the state's strategies for bringing its HCBS delivery system into compliance with the federal regulations by March 17, 2022.
The following 1915(c) waivers are currently operating in Illinois:
1. Adults with Developmental Disabilities
2. Support for Children and Young Adults with Developmental Disabilities
3. Residential for Children and Young Adults with Developmental Disabilities
4. Medically Fragile/Technology Dependent Children
5. Persons who are Elderly
6. Persons with Brain Injury
7. Persons with Disabilities
8. Persons with HIV/AIDS
9. Supportive Living Program
On July 26, 2021, CMS notified Illinois of their initial approval of Illinois' HCBS Statewide Transition Plan (STP). Below are copies of the Illinois Initial STP Approval Letter, a summary of updates included in the January 29, 2021 revised STP, and the updated version of the STP that was submitted to CMS on May 3, 2021.